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"A rest tremor frequency that was within the range of the classic parkinsonian tremor (3-5 Hz)

Posted By: MT50 on 2007-11-15
In Reply to: Pain management - - Please see message - thank you.

Subject: "A rest tremor frequency that was within the range of the classic parkinsonian tremor (3-5 Hz)"




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tremor
Subject: tremor

is he saying essential tremor?
rapid tremor? nm
Subject: rapid tremor? nm


could it be *perioral* tremor? --sm
Subject: could it be *perioral* tremor? --sm

I found this....

Neuroleptic induced Parkinsonian occurs in 15% of patients. Symptoms include muscle stiffness, cogwheel rigidity, shuffling gait and perioral tremor. Treatment is anticholinergics.
Type of Tremor
Subject: Type of Tremor

Doctor is saying I have noticed a shuffling gait, s/l todalol tremor and some cogwheel rigidity.  It may just be a simple non-medical work, but I can't be sure. 


TIA


Delirium Tremor
Subject: Delirium Tremor

I believe the doctor is saying delirium tremor, but there's no mention of alcohol abuse and when I googled that's what I take it Delirium tremors are.  Just to make sure, though, is there another type of tremor that starts with a "D".  TIA.


 


 


resting tremor
Subject: resting tremor

Yes. 
cogwheeling and tremor perhaps (NM)
Subject: cogwheeling and tremor perhaps (NM)

x
familia tremor?
Subject: familia tremor?

Is that a type of tremor?
Slight sensual tremor
Subject: Slight sensual tremor

The doctor has this under neurological exam. Slight sensual tremor.


Help!!!


Thanks ahead of time.


There is a flapping AND flopping tremor. nm
Subject: There is a flapping AND flopping tremor. nm


Pill-rolling tic (tremor)
Subject: Pill-rolling tic (tremor)


? negative resting tremor ? -- nm
Subject: ? negative resting tremor ? -- nm


Patient has tremor, s/l peru-day
Subject: Patient has tremor, s/l peru-day


Yep means a tremor of the head
Subject: Yep means a tremor of the head


s/l *colisistent* parkinson tremor??? Thanks. nm
Subject: s/l *colisistent* parkinson tremor??? Thanks. nm

nm


WAG - wonder about the order of the words..."resting tremor"??
Subject: WAG - wonder about the order of the words..."resting tremor"??


familial,--- a tremor that runs in the family
Subject: familial,--- a tremor that runs in the family


medication help s/l cefadine (for either headache or tremor)
Subject: medication help s/l cefadine (for either headache or tremor)

n
Nystagmus is correct. Intention tremor is the other. sm
Subject: Nystagmus is correct. Intention tremor is the other. sm

A tremor which arises or which is intensified when a voluntary, coordinated movement is attempted.
Extremity exam: "No astericks". No tremor noted. nm
Subject: Extremity exam: "No astericks". No tremor noted. nm


I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.
Subject: I think in neuro exam it is usually "essential tremor" that is noted, still thinking on other.....nm

nm
although there is intention tremor in neuro exam, and rapid alternating movements...nm
Subject: although there is intention tremor in neuro exam, and rapid alternating movements...nm

x
Range of motion of his lower extremities was full in range accompanied by mild ____ sign
Subject: Range of motion of his lower extremities was full in range accompanied by mild ____ sign

.


Parkinsonian gait
Subject: Parkinsonian gait

It should be ratcheting steps. 
passive? persistent? parkinsonian? nm
Subject: passive? persistent? parkinsonian? nm

s
could it be classic mottle...sm
Subject: could it be classic mottle...sm

mottle or mottled is a purple discoloration of the skin seen sometimes with Dupuytren's. 
This is a term used widely in classic works sm
Subject: This is a term used widely in classic works sm

such as "Gone With the Wind," and other great literary works.
uterine contraction frequency ?
Subject: uterine contraction frequency ?


Examination of the right hand reveals s/l classic model of Dupuytren's contracture
Subject: Examination of the right hand reveals s/l classic model of Dupuytren's contracture

:-)
maybe "bethanechol" - has diabetes, could have urinary frequency. /nm
Subject: maybe "bethanechol" - has diabetes, could have urinary frequency. /nm

.
medication s/l "phenestroid" for urinary frequency... TY
Subject: medication s/l "phenestroid" for urinary frequency... TY


PUF score (pain|urgency|frequency)...sm
Subject: PUF score (pain|urgency|frequency)...sm

if this is for interstitial cystitis or urologic pain syndrome of some kind, only thing i can think of is perhaps "perineal ROM" =range of movement...a test for myofascial trigger points...
Cardio help: s/l "tunkuated" frequency ablation (for arrhythmia)
Subject: Cardio help: s/l "tunkuated" frequency ablation (for arrhythmia)


Is it general range of motion or gentle range of motion?
Subject: Is it general range of motion or gentle range of motion?

Pls help me on this.


It was RANGE... nm
Subject: It was RANGE... nm

nm
Maybe percentile range?? nm
Subject: Maybe percentile range?? nm

s
range of motion
Subject: range of motion

How should this be typed: range-of-motion
OR
range of motion
range of motion
Subject: range of motion


range and stability nm
Subject: range and stability nm


Maybe range of motion
Subject: Maybe range of motion


ROM as in range of motion? nm
Subject: ROM as in range of motion? nm


range of motion is full
Subject: range of motion is full

then it sounds like fingers are in touch, capillary refill is brisk. This is an ER note, speed talker, wrist laceration.  I am wondering if it is something to do with light touch rather than fingers. It is definitely touch not intact.  TIA


range of motion is all that comes to my mind
Subject: range of motion is all that comes to my mind

x
range 53 to 63 - Use a hyphen instead of the word TO?
Subject: range 53 to 63 - Use a hyphen instead of the word TO?

On this administration of the Wechsler Adult Intelligence Scale-III, Mr. ___ obtained a verbal IQ of 57 (range 53-63), a performance IQ of 64 (range 59-73),...   Should I type (range 53 to 63) - as dictated, or type (range 53-63)?  Thanks!!!
Does it sound like MCV? That is a similar range. nm
Subject: Does it sound like MCV? That is a similar range. nm


dupuytren's range of motion?
Subject: dupuytren's range of motion?


In degrees of ROM or in end range or ROM? I doubt sm
Subject: In degrees of ROM or in end range or ROM? I doubt sm

it is Dupuytren etc.  nm


In some way, he's giving the normal range
Subject: In some way, he's giving the normal range

The normal range for ionized calcium would be 1.12 to 1.32.
i was thinking end range of motion,
Subject: i was thinking end range of motion,

but that don't make a whole lotta sense, either....
general range or gommelin????
Subject: general range or gommelin????

Not able to apply my logic.


Her _____(gommelin / general range) is unchanged and she is pleased with it.


The patient has headaches and also for knee problem.  Also not dictating under physical examination.


maybe "especially" with range of motion.. ??
Subject: maybe "especially" with range of motion.. ??